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This paper aims to understand the maternal health vulnerabilities of migrant women in slums and explore their challenges during and after childbirth.

The study used a qualitative approach, including in-depth interviews through purposive and snowball sampling techniques. Thematic analysis was used for analysing data. The consolidated criteria for reporting qualitative studies (COREQ)-32 items were followed for reporting this study.

The study found that migrant women were highly susceptible to adverse birthing outcomes due to risks involved in birthing, lack of care and hygiene, lack of skilled care in dealing with complicated pregnancies and exposure to domestic and obstetric violence.

The study intends to highlight the narratives of female migrants’ birthing and maternal health challenges. The entire process of childbirth in slums with consequences can result in maternal and infant morbidities and mortalities.

The present study intends to highlight the issues and challenges pertinent to sanitation practices among urban slum women in India.

The primary qualitative data has been collected from 100 households sampled by stratified random and purposive sampling through in-depth interviews, and a structured interview schedule and themes were developed accordingly.

The main theme-based results of the study included the challenges of open defecation in slums, public toilets as an alternative, sanitation-related stress in slum women, compromised state of health of women and children, menstrual hygiene among women in slums and increasing burden on women in terms of water management. The study recommends the creation of toilets in every slum locality with maintenance and awareness to be raised.

Urban sanitation has received less research than rural sanitation. The present study focused on the issues of urban sanitation, which are often neglected. To ensure the study's uniqueness, researchers visited and mentioned each open defecation site to understand the situation.

The peer-review history for this article is available at: https://publons.com/publon/10.1108/IJSE-12-2022-0782